Richard N. Goodman, LCPC, LTD.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RICHARD N. GOODMAN, LCPC, LTD.

Practice address

7101 N Cicero Ave Ste 203
Lincolnwood, IL 60712-2144

Phone

(847) 650-1995

NPI assigned

Mar 27, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Goodman, LCPCNPI 1598040941

Title

Psychotherapist

Phone

(847) 650-1995

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Goodman, L.C.P.C.

  • Professional Counselor
  • Deerfield, IL
  • NPI 1598040941
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1962039974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ASHLAND AVE",
            "city": "HIGHWOOD",
            "state": "IL",
            "postal_code": "600401103",
            "telephone_number": "847-650-1995",
            "fax_number": "847-650-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 N CICERO AVE STE 203",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122144",
            "telephone_number": "847-650-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD N. GOODMAN, LCPC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-07-17",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-650-1995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321585345001",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Northbrook",
            "affiliation": "N",
            "address_1": "1003 Longaker Rd",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600623921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.